| NPI | 1487101465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 006704) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 6704) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-01-17 |